Provider Demographics
NPI:1174751218
Name:AMMOUS, ZINEB ABDELKARIM (MD)
Entity type:Individual
Prefix:
First Name:ZINEB
Middle Name:ABDELKARIM
Last Name:AMMOUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 LEHMAN AVE
Mailing Address - Street 2:#C PO BOX 9
Mailing Address - City:TOPEKA
Mailing Address - State:IN
Mailing Address - Zip Code:46571-9476
Mailing Address - Country:US
Mailing Address - Phone:260-593-0108
Mailing Address - Fax:260-593-0116
Practice Address - Street 1:315 LEHMAN AVE
Practice Address - Street 2:#C
Practice Address - City:TOPEKA
Practice Address - State:IN
Practice Address - Zip Code:46571-9476
Practice Address - Country:US
Practice Address - Phone:260-593-0108
Practice Address - Fax:260-593-0116
Is Sole Proprietor?:No
Enumeration Date:2009-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01071916A207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)